![]() ![]() “The most suitable IOL will depend on their age, tasks, demeanour, their attitude towards night dysphotopsias, and whether they mind wearing spectacles at the moment or not – it’s a constellation.”Įnsuring patients clearly understand their long-term visual function, with or without surgical intervention, is essential. With more IOL options presenting a broader array of potential outcomes and avenues of optimisation, Dr Corbett said a clear understanding of the patient’s vision needs and expectations is essential. They are given a lot more information up front, warned of everything that could possibly go wrong, and tend to be more cooperative, less demanding, and less likely to report downsides.” EDUCATION, TRANSPARENT COMMUNICATION KEY That’s for several reasons – only certain personalities enrol in a randomised study. “What did surprise me was the lack of bothersome dysphotopsias across both groups. This could be because people enrolled into studies tend to give somewhat different information compared to the commercial population. first plus in all cases, otherwise distance acuity might be compromised. ![]() In planning refractive target it is essential to plan for a hyperopic refractive outcome – i.e. “The only potential issue to be aware of for synergy is the relatively steep fall off the minus side of the defocus curve. This was reflected in the study, where Tecnis Synergy showed an additional line of visual acuity improvement at a near distance of 33cm when compared to the PanOptix. Tecnis Synergy is nice because it has the greatest likelihood of generating spectacle freedom because of this range of vision – even people with short arms or challenging near tasks are going to do well.” Having implanted around 60 eyes with the Tecnis Synergy, Dr Corbett, who is paid to consult to J&JV said, “The biggest thing I notice is the broad depth of focus. Additionally, more Tecnis Synergy subjects achieved ‘good binocular distance corrected visual outcomes’ (76% vs 50%).īoth the Tecnis Synergy and PanOptix IOLs had a similar dsyphotopsia profile, with insignificant reports of night glare and starbursts 37% and 39% of Tecnis Synergy and PanOptix subjects respectively, reported mild, moderate or severe haloes. The Tecnis Synergy, which combines diffractive technology from J&JV’s Tecnis Multifocal with extended depth of focus features from Tecnis Symfony IOL, demonstrated a continuous range of vision through 33cm, with higher visual acuity and a longer binocular defocus curve than the comparator. Presented at the European Society of Cataract & Refractive Surgeons (ESCRS), the J&JV funded study reported that 93% of Tecnis Synergy versus 83% of PanOptix subjects were spectacle-independent at near, and spectacle independence was comparable for both distance and intermediate vision. ![]() The study, conducted across 12 sites in Singapore, Europe, the Philippines and New Zealand, reported 91% of patients implanted with either the Tecnis Synergy or PanOptix were “completely, mostly or moderately satisfied with their overall vision when not wearing glasses”. ![]()
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